Rosh 7

Question 1

How long should patients be observed in the emergency department after rectal foreign body removal?

Answer 1

4–6 hours, to watch for signs of perforation

Question 2

What is the most common bacterial cause of infectious diarrhea?

Answer 2

Campylobacter jejuni.

Question 3

first-line treatment of OCD

Answer 3

selective serotonin reuptake inhibitors (e.g., fluoxetine, paroxetine, and citalopram) or the tricyclic antidepressant clomipramine

Question 4

Tetralogy of Fallot echo will show

Answer 4

pulmonic stenosis, right ventricular hypertrophy, overriding aorta, and VSD

Mnemonic: PROVe:: Pulmonic stenosis, Right ventricular hypertrophy, Overriding aorta, VSD

Question 5

Disseminated Intravascular Coagulation (DIC) Labs will show

Answer 5

thrombocytopenia
decreased fibrinogen
increased fibrin split products
increased BT, PT, and PTT

Question 6

Umbilical Cord Prolapse treatment

Answer 6

Treatment is emergent c-section

If delay in c-section: Trendelenburg position, knee-chest position, bladder filling, elevation of presenting fetal part

Question 7

Treatment for high alt cerbral edema when decent is not possible

Answer 7

dexamethasone

*hypertonics/ manitol DONT work

Question 8

Which syndrome can be precipitated by giving glucose before thiamine in alcoholics?

Answer 8

Wernicke’s Encephalopathy.

Question 9

Hydrofluoric Acid

Answer 9

Glass etchers, rust removal, metal cleaner
blue/gray burn, pain out of proportion to exam
Rx: irrigation, calcium gluconate